| NPI | 1538314075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 006192-01) |
| Additional Taxonomies | 171W00000X Contractor (Licence: AZ 3635) |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2022-10-07 |