| NPI | 1396090205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09085200) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 008111-1) |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2019-11-25 |