| NPI | 1093964702 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013079-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00326300) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |