| NPI | 1073659736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 008749) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 008749) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-09-15 |