| NPI | 1528275203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019425-1) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 003846) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2015-09-15 |