| NPI | 1154831543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00173300) |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: NJ 46Tr00173300) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2017-10-11 |