| NPI | 1356879001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09111900) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP008192) |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2017-05-25 |