| NPI | 1053608604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015277-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 9084) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2014-08-21 |