| NPI | 1790053650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 023284-1) |
| 225X00000X Occupational Therapist (Licence: NY 018281) | |
| Enumeration Date | 2011-12-07 |
| Last Update Date | 2024-03-05 |