| NPI | 1144650433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT11039) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ TR4600125600) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2022-07-21 |