| NPI | 1639302532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 004079-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 003461) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2016-09-10 |