| NPI | 1659956977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 226000000X Recreational Therapist Assistant (Licence: NY 010552) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-18 |