| NPI | 1952581498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 006728-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 006728-1) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2012-10-12 |