| NPI | 1831562974 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00718000) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020161) | 
| Enumeration Date | 2015-11-11 | 
| Last Update Date | 2015-12-02 |