| NPI | 1194068593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00609400) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017944) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |