| NPI | 1891067468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 3602) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00138400) |
| Enumeration Date | 2012-01-29 |
| Last Update Date | 2012-01-29 |