| NPI | 1114673514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 010290) |
| Enumeration Date | 2022-02-23 |
| Last Update Date | 2022-03-15 |