| NPI | 1184881146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014609-1) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 4153) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2011-12-07 |