| NPI | 1205410792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025399) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00970000) |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |