NPI | 1023359692 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00654300) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 017830) |
Enumeration Date | 2013-03-07 |
Last Update Date | 2015-01-26 |