| NPI | 1740678366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 0067801) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 0067801) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-01-05 |