| NPI | 1700184355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020717) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00553700) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2021-01-08 |