| NPI | 1770920092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005980) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017500) |
| Enumeration Date | 2013-05-28 |
| Last Update Date | 2013-05-28 |