| NPI | 1912296930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00427700) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 004752) |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |