NPI | 1710251889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00588700) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017246) |
Enumeration Date | 2012-03-06 |
Last Update Date | 2017-12-11 |