| NPI | 1154967255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46tr00477900) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2019-11-23 |
| Last Update Date | 2019-11-23 |