| NPI | 1104157205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00065700) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC010760) |
| Enumeration Date | 2010-01-29 |
| Last Update Date | 2010-01-29 |