| NPI | 1629350509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) (Licence: NY 004895-1) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 004895-1) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2012-01-18 |