| NPI | 1073706776 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT006602)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00412900)  | 
| 225X00000X Occupational Therapist (Licence: OT006602)  | |
| Enumeration Date | 2007-08-25 | 
| Last Update Date | 2022-09-27 |