| NPI | 1326172990 |
|---|---|
| Former Name | JENNIFER ELIZABETH STARON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: PA OP003316L) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2007-07-08 |