| NPI | 1265957120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08391) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00825700) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2018-12-03 |