| NPI | 1497124499 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00682100) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 019395) | 
| Enumeration Date | 2015-09-19 | 
| Last Update Date | 2015-09-19 |