| NPI | 1972830578 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NY 015839)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 015839)  | 
| Enumeration Date | 2009-11-03 | 
| Last Update Date | 2009-11-03 |