| NPI | 1588085419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018260) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004140) |
| 225X00000X Occupational Therapist (Licence: TX 115823) | |
| Enumeration Date | 2013-12-19 |
| Last Update Date | 2013-12-19 |