| NPI | 1265687461 |
|---|---|
| Former Name | LISBELT CARMEN HERNANDEZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013953-1) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 005259-1) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2008-12-02 |