| NPI | 1578964607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00661600) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 019040) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2014-09-08 |