NPI | 1124140611 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00427500) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC010073) |
Enumeration Date | 2007-04-04 |
Last Update Date | 2007-07-08 |