| NPI | 1760026801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026715) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 008005) |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2022-04-22 |