| NPI | 1053612770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY P123750) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 007630-1) |
| Enumeration Date | 2010-11-11 |
| Last Update Date | 2023-08-31 |