| NPI | 1336336171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT21590) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00398000) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2021-05-11 |