| NPI | 1366779258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT12440) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 013584-1) |
| Enumeration Date | 2009-11-12 |
| Last Update Date | 2009-11-12 |