| NPI | 1407299159 |
|---|---|
| Former Name | MOLLIE LAUREN RAY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist Hand (Licence: NJ 46TR00702600) |
| Additional Taxonomies | 174N00000X Lactation Consultant, Non-RN (Licence: NJ 325076) |
| 225X00000X Occupational Therapist (Licence: NJ 46TR00702600) | |
| 225X00000X Occupational Therapist (Licence: NY 017965) | |
| Enumeration Date | 2013-04-12 |
| Last Update Date | 2020-09-10 |