| NPI | 1508084526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013325-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119004296) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-09-25 |