| NPI | 1073796934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ 5190) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014904) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2014-02-19 |