| NPI | 1164784880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: FL 23174) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ TR01584) |
| Enumeration Date | 2012-06-08 |
| Last Update Date | 2022-11-28 |