| 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 |