| NPI | 1093187940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 0222601) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 06804) |
| Enumeration Date | 2015-10-30 |
| Last Update Date | 2018-03-30 |