| NPI | 1487174645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR01096800) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 4182) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-01-11 |