| NPI | 1962782847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 63 016808) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2019-10-13 |