| NPI | 1558735803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00717500) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC014121) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |