| NPI | 1124367594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 028197) |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2023-08-15 |