| NPI | 1194178624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00733600) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020468-1) |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2016-07-20 |