| NPI | 1619705860 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 029771) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 6297) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-11-08 |