| NPI | 1215178488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 002628) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 010196-1) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |