| NPI | 1114173671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015079-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 003653) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2012-02-20 |