| NPI | 1871844092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019295-1) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 008019) |
| Enumeration Date | 2012-09-27 |
| Last Update Date | 2015-04-15 |