| NPI | 1003912825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 003586) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 009947-1) |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2011-04-13 |