| NPI | 1912341082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 007551-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 3404) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |