| NPI | 1700214269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00538200) |
| Additional Taxonomies | 171W00000X Contractor (Licence: FL OT15356) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2021-02-03 |