| NPI | 1013469907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0004886) |
| Additional Taxonomies | 283X00000X Rehabilitation Hospital (Licence: NJ 46tr00674700) |
| 314000000X Skilled Nursing Facility (Licence: AZ 6656) | |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2017-02-06 |