| NPI | 1487012662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020316) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 007011) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2016-02-03 |