| NPI | 1912618547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 027399-01) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01090700) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2022-12-05 |