| NPI | 1184818510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014959-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 104481) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2014-03-19 |