| NPI | 1972844538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NY 005998-1) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: NY 005998-1) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-03-07 |