| NPI | 1588055396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0001950) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00592800) |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2019-10-10 |