| NPI | 1255507653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 016296-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 410577-1) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2012-05-29 |