| NPI | 1215577002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024412) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2020-01-09 |
| Last Update Date | 2023-08-17 |