| NPI | 1548837891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 029649-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 15484) |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2026-04-16 |