| NPI | 1558961342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46tr00597800) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012572) |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |