| NPI | 1972796415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00446700) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 006298) |
| 225X00000X Occupational Therapist (Licence: CT 001946) | |
| Enumeration Date | 2007-08-18 |
| Last Update Date | 2007-08-18 |