| NPI | 1588868301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 021064) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 006521) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2017-05-03 |