| NPI | 1801346044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 029644) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 64 008406) |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2024-11-04 |