NPI | 1134574437 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00591500) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 020229-1) |
Enumeration Date | 2016-04-25 |
Last Update Date | 2016-12-29 |