| NPI | 1790456853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025894-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01021400) |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2023-04-11 |