| NPI | 1205466190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025811) |
| Additional Taxonomies | 103K00000X Behavior Analyst (Licence: NY 1-19-35845) |
| Enumeration Date | 2020-01-21 |
| Last Update Date | 2021-07-15 |