NPI | 1356610042 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07316) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00571300) |
Enumeration Date | 2011-12-25 |
Last Update Date | 2017-11-10 |