| NPI | 1629663786 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00977500) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 025449) |
| Enumeration Date | 2021-03-01 |
| Last Update Date | 2021-04-24 |