| NPI | 1063015592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00982000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC017346) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2021-03-09 |