| NPI | 1124338827 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 0157471) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT16404) | 
| Enumeration Date | 2010-10-14 | 
| Last Update Date | 2020-10-29 |