| NPI | 1134618697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification |
| 225X00000X Occupational Therapist (Licence: NY P10219) | |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-07-20 |