NPI | 1619542628 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00813100) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00813100) |
Enumeration Date | 2021-05-21 |
Last Update Date | 2021-05-21 |