| NPI | 1639627987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00628700) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 018191-1) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |