| NPI | 1508107400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 017842-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 9795) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2015-07-20 |