NPI | 1629335682 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 014952) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 014952) |
Enumeration Date | 2012-04-16 |
Last Update Date | 2012-12-13 |