| NPI | 1376928051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 017982-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 01798201) |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2025-05-06 |