| NPI | 1558605006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA009025700) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 003480-1) |
| Enumeration Date | 2012-11-22 |
| Last Update Date | 2012-11-22 |