| NPI | 1497977755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00016100) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 16378) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2016-10-14 |