| NPI | 1457591497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 7279) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 63-015621) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2015-08-18 |