| NPI | 1366907776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46T00880200) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 023347) |
| Enumeration Date | 2019-02-10 |
| Last Update Date | 2020-08-18 |