| NPI | 1992236350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 021299) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 46TR00738300) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2022-10-19 |