| NPI | 1326531468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020976-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00759600) |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2018-06-13 |