| NPI | 1093960338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015739-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 9671) |
| Enumeration Date | 2008-12-01 |
| Last Update Date | 2016-07-09 |