| NPI | 1376717074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 015772) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: CT 003419) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2011-12-15 |