NPI | 1164201943 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 011416-01) |
225100000X Physical Therapist | |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2023-09-21 |
Last Update Date | 2023-09-21 |