| NPI | 1255731774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00662200) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2024-12-04 |