| NPI | 1255806832 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026384) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 5067) |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2025-09-02 |