| NPI | 1669625026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 012709-1) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00436400) |
| Enumeration Date | 2008-10-29 |
| Last Update Date | 2008-10-29 |