| NPI | 1376843359 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00224700) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 010026-1) | 
| 225X00000X Occupational Therapist (Licence: PA OC010472) | |
| Enumeration Date | 2010-10-25 | 
| Last Update Date | 2010-10-25 |