| NPI | 1699870592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 002131-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: RI OT00177) |
| 225X00000X Occupational Therapist (Licence: MA 3314) | |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2007-07-08 |