| NPI | 1639295512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 0125871) |
| Additional Taxonomies | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: NY 0125871) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-07-18 |