| NPI | 1366580698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: NY 00810) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 000810-1) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2012-08-01 |