| NPI | 1659720357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 07851) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00627600) |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2016-06-14 |