| NPI | 1679807747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 014842-1) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 014842) |
| 225X00000X Occupational Therapist (Licence: NY 014842) | |
| Enumeration Date | 2009-09-23 |
| Last Update Date | 2010-09-15 |