| NPI | 1265079826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00890100) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016507) |
| Enumeration Date | 2019-12-03 |
| Last Update Date | 2022-11-04 |