| NPI | 1356586523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 010199L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TRoo351800) |
| Enumeration Date | 2008-12-02 |
| Last Update Date | 2012-03-07 |