| NPI | 1245563774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 010940-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119001091) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2016-01-19 |