| NPI | 1467658054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00713100) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 012996-1) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2015-11-13 |