| NPI | 1790801405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014220) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: L-317370) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2026-02-10 |