| NPI | 1770720864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 015966) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46tr00482100) |
| 314000000X Skilled Nursing Facility (Licence: NJ 46TR00482100) | |
| Enumeration Date | 2009-01-12 |
| Last Update Date | 2019-01-29 |