| NPI | 1548547565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019971) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 304835) |
| 225X00000X Occupational Therapist (Licence: NJ 46tr00718100) | |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2019-03-13 |