| NPI | 1740902121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NY 113282) |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist, | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-10-11 |