| NPI | 1003376286 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 400640)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00827000)  | 
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2019-03-22 | 
| Last Update Date | 2022-11-02 |