| NPI | 1700419108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 029916) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 010143) |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2025-03-31 |