| NPI | 1821542325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 020763) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00741100) |
| Enumeration Date | 2016-08-12 |
| Last Update Date | 2016-08-12 |