| NPI | 1053811232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09155700) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009539-1) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2020-06-27 |