| NPI | 1962646588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 001807-1) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 001807-1) |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-04-27 |