| NPI | 1417180316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 63015271) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072.0049433) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2012-11-30 |