| NPI | 1083989958 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 009724-1)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00282600)  | 
| Enumeration Date | 2012-03-12 | 
| Last Update Date | 2012-03-12 |