NPI | 1912228164 |
---|---|
Professional Name | JILL CHARLENE BARBUTI VAN LEUKEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014620-1) |
Enumeration Date | 2010-06-22 |
Last Update Date | 2011-10-21 |