| NPI | 1124868823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 029219-01) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009932) |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-06-21 |