| NPI | 1609110857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00582800) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 0174861) |
| Enumeration Date | 2012-11-11 |
| Last Update Date | 2017-02-02 |