| NPI | 1811256753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00702300) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017324) |
| Enumeration Date | 2012-05-13 |
| Last Update Date | 2017-08-29 |