| NPI | 1700314697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 021515) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 6500) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2025-06-05 |