| NPI | 1528206265 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 015103-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 015103-1) |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-09-09 |