| NPI | 1205587367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00854300) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016122) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2022-01-11 |