| NPI | 1134492507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09095800) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 008018-1) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2013-11-11 |