| NPI | 1558655746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00537800) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114218) |
| 225X00000X Occupational Therapist (Licence: OR 277474) | |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2014-01-03 |