| NPI | 1255583183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 006129-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 001447) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2008-10-22 |