| NPI | 1730415159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 014730-1) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: NY 4863) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2013-02-26 |