| NPI | 1396979928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014474-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 003470) |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-05-11 |