| NPI | 1871928143 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018272) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 018272) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2024-10-28 |