| NPI | 1760503288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 12125) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 13632) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2007-07-08 |