| NPI | 1316170848 |
|---|---|
| Former Name | THERESE WILLMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: HI 1111) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00476800) |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2017-08-18 |