| NPI | 1225557952 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00793400) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 021688) | 
| Enumeration Date | 2017-09-13 | 
| Last Update Date | 2017-09-13 |