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Marsha E. Shapiro, MS, OTR/L, is Clinical Instructor, Department of Occupational Therapy, School of Health Related Professions, 515 Stockton Kimball Tower, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. She is also a doctoral student in educational psychology in the Department of Counseling and Educational Psychology, State University of New York at Buffalo, Buffalo, New York