| NPI | 1750683025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 0103231) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00352300) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |