NPI | 1053574384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00233900) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00233900) |
Enumeration Date | 2008-07-07 |
Last Update Date | 2021-05-23 |