| NPI | 1629408224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018685-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 8960) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2014-10-17 |