| NPI | 1023346301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11463) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015887-1) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2015-01-27 |