| NPI | 1982368775 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 025772-01) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00999900) | 
| Enumeration Date | 2021-10-27 | 
| Last Update Date | 2021-10-27 |