| NPI | 1730707514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 028773) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009343) |
| Enumeration Date | 2020-07-08 |
| Last Update Date | 2024-01-09 |