| NPI | 1801491592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025315) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00799800) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2022-10-18 |