| NPI | 1063778538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 014196-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014196-1) |
| 225XG0600X Occupational Therapist, Gerontology | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2012-04-09 |