| NPI | 1235596313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020192) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00724300) |
| Enumeration Date | 2016-01-21 |
| Last Update Date | 2016-01-21 |