| NPI | 1316258684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 63015624) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 63015624) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |