| NPI | 1043506967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00628600) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI 1281) |
| 225X00000X Occupational Therapist (Licence: CA 12016) | |
| Enumeration Date | 2011-06-20 |
| Last Update Date | 2014-05-02 |