| NPI | 1639441280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 14728) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 004511) |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2012-01-29 |