| NPI | 1306169115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0019X Occupational Therapist Physical Rehabilitation (Licence: NJ 46TR01076000) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 6772) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: FL OTT19652) | |
| Enumeration Date | 2010-03-08 |
| Last Update Date | 2022-12-11 |