| NPI | 1962169748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 026352) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |