| NPI | 1245736792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 0005355) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00605200) |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-05-11 |