| NPI | 1407454861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00950800) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 46TR00950800) |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2020-10-16 |