| NPI | 1073757159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 012595-01) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 023487-01) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2020-01-02 |