| NPI | 1801190202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 63013861) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 11395) |
| Enumeration Date | 2010-12-29 |
| Last Update Date | 2010-12-29 |