| NPI | 1710432695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00159300) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 018614-1) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |