| NPI | 1487113544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09139300) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: NJ 46TA09139300) |
| Enumeration Date | 2019-03-18 |
| Last Update Date | 2019-03-18 |