| NPI | 1053992404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00984500) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 025518) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2021-08-19 |