| NPI | 1588003024 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 00436700) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014586-1) | 
| Enumeration Date | 2013-06-18 | 
| Last Update Date | 2016-12-28 |