| NPI | 1316035165 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: NJ 40QA00280000) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00377600) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-11-17 |