| NPI | 1710296140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020474) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 007579) |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2020-10-22 |