| NPI | 1508175068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 001307) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00705100) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 4537) | |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2016-06-22 |