| NPI | 1023250594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT1714) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015655) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2018-07-31 |