| NPI | 1538400635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 16418) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00606500) |
| 225X00000X Occupational Therapist (Licence: NY 017705) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2014-09-16 |