| NPI | 1396142501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00764200) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 104664) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2019-08-29 |