| NPI | 1780920892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 017659) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NY 017659) |
| 225X00000X Occupational Therapist (Licence: NJ 46TR00604900) | |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2022-05-03 |