| NPI | 1427331180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 022047) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 005029) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2018-01-19 |