| NPI | 1063860237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026861-01) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 009819-1) |
| Enumeration Date | 2016-05-29 |
| Last Update Date | 2022-06-07 |