| NPI | 1942400650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 628447967) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 05734) |
| Enumeration Date | 2007-07-20 |
| Last Update Date | 2013-02-21 |