| NPI | 1306410873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00986900) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 025583) |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-07-03 |