| NPI | 1962777474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 014979) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR000476600) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |