| NPI | 1528478963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 001210) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 002434-1) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |