| NPI | 1760710115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00758100) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014041-1) |
| Enumeration Date | 2009-11-23 |
| Last Update Date | 2021-01-12 |