| NPI | 1760783914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AL 3315) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 016450-1) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2011-12-13 |