| NPI | 1215161112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018116) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 007070) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2013-07-17 |