| NPI | 1578035770 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12904) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00856600) |
| 2251X0800X Physical Therapist, Orthopedic (Licence: NC 12904) | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2024-08-02 |