| NPI | 1710767975 |
|---|---|
| Former Name | SERENA JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 028433) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics |
| Enumeration Date | 2023-10-04 |
| Last Update Date | 2024-08-05 |