| NPI | 1639635907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 023233) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 023233) |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |