| NPI | 1649883679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024906-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00943800) |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2021-09-02 |