| NPI | 1295080554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025794-01) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 007464) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-04-04 |