NPI | 1174877567 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 7783) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00393700) |
Enumeration Date | 2012-11-06 |
Last Update Date | 2012-11-06 |