NPI | 1649649062 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00500900) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10673) |
Enumeration Date | 2015-09-15 |
Last Update Date | 2015-09-15 |