| NPI | 1992016331 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 015532-1)  | 
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: NY 015532-1)  | 
| Enumeration Date | 2010-06-30 | 
| Last Update Date | 2010-06-30 |