| NPI | 1033865902 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 025892-01)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01031300)  | 
| Enumeration Date | 2022-03-01 | 
| Last Update Date | 2022-03-31 |