| NPI | 1972140077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 024159) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00899200) |
| Enumeration Date | 2019-12-08 |
| Last Update Date | 2019-12-08 |