| NPI | 1114753563 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR01153400)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC019654)  | 
| Enumeration Date | 2024-09-11 | 
| Last Update Date | 2024-09-11 |