| NPI | 1609166578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 021885) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 007835-1) |
| Enumeration Date | 2011-04-13 |
| Last Update Date | 2017-09-13 |