| NPI | 1639660897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 022539-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119011030) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2025-09-25 |