| NPI | 1497875769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014767-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT12615) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-08-01 |