| NPI | 1861917684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 21544) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 8296) |
| 225X00000X Occupational Therapist (Licence: NY 21544) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 21544) | |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2019-06-26 |