| NPI | 1801802590 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018376) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: NY 00001766) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2014-03-12 |