| NPI | 1710173059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NV 0705) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00450600) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2010-09-28 |