| NPI | 1568602092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NY 4828-1) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: NY 073542) |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |