| NPI | 1861796500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 63016867) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: NY 63016867) |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2013-07-08 |