| NPI | 1164588000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00004300) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC002104L) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2019-04-15 |