| NPI | 1750772802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 019338) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00684800) |
| Enumeration Date | 2015-02-11 |
| Last Update Date | 2021-11-30 |