| NPI | 1285930610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011759) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: NJ 46TR00520700) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2013-05-20 |