| NPI | 1992200265 |
|---|---|
| Former Name | SAMANTHA RICHARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 027358) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009194-1) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2022-10-21 |