| NPI | 1245508704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00567400) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017054) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |