| NPI | 1619606191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09143200) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 011003) |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2022-06-09 |