| NPI | 1811202039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 010556-1) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00221700) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |