| NPI | 1174736938 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00054000)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 010218-1)  | 
| Enumeration Date | 2007-05-08 | 
| Last Update Date | 2007-07-08 |