| NPI | 1114161049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 015120) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015120) |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2013-12-26 |