NPI | 1134663255 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00762900) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT22335) |
Enumeration Date | 2016-12-08 |
Last Update Date | 2022-03-30 |