| NPI | 1063638724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00358300) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA oc009277) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-12-04 |