| NPI | 1295955631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14378) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00371800) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2021-10-19 |