| NPI | 1104401546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 024058) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2024-07-18 |