| NPI | 1730319997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 012754) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 012754) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2023-03-21 |