| NPI | 1811207376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00415700) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 014028) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |