| NPI | 1609821222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19489) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA PAOC005598L) |
| 225X00000X Occupational Therapist (Licence: NJ NJ46TR00139000) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2023-10-10 |