| NPI | 1124764139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 008957) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2022-05-11 |
| Last Update Date | 2025-11-21 |