| NPI | 1407091259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 013380) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR000410000) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |