| NPI | 1275205957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 3991492) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 0310047) |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2026-06-15 |