NPI | 1417518838 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-6855) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00879500) |
Enumeration Date | 2019-06-26 |
Last Update Date | 2019-07-09 |