NPI | 1740673623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 008602-1) |
Additional Taxonomies | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NY 023673-01) |
225XP0200X Occupational Therapist Pediatrics (Licence: NY 023673-01) | |
Enumeration Date | 2015-03-16 |
Last Update Date | 2022-10-29 |