| NPI | 1952052417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026495) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 026495) |
| Enumeration Date | 2022-01-15 |
| Last Update Date | 2022-01-15 |