| NPI | 1982101994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 028450) |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2018-04-07 |
| Last Update Date | 2023-10-17 |