| NPI | 1902507957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 027571) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 027571) |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-09-05 |