| NPI | 1326512948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00956000) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2021-03-13 |