| NPI | 1912214826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 002591) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PR 002591) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2010-09-13 |