| NPI | 1619459047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 030644) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009865) |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2025-10-03 |