| NPI | 1194073064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: NJ 46TR00851100) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00851100) |
| Enumeration Date | 2012-08-26 |
| Last Update Date | 2025-11-24 |