| NPI | 1619697794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 027029) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01103500) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2023-01-20 |