| NPI | 1275994519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019788-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00702800) |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2021-09-27 |