| NPI | 1558674713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: NY 011577-1) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 011577-1) |
| Enumeration Date | 2010-07-16 |
| Last Update Date | 2011-11-21 |