| NPI | 1043614662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 008543-1) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 008543-1) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2018-03-14 |