| NPI | 1023303542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019167) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC011391) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2015-06-11 |