| NPI | 1316183049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013083-1) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 013083-1) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2008-12-30 |