| NPI | 1477792760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 017608-1) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NY 006271-1) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2016-12-03 |