| NPI | 1255705729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: NY 007646-1) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: NJ 46TR00569400) |
| Enumeration Date | 2015-11-21 |
| Last Update Date | 2015-11-21 |