| NPI | 1023197811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00005900) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00005900) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2017-11-03 |