NPI | 1750757548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00045400) |
Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: NJ 46TR00045400) |
225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: NJ 46TR00045400) | |
Enumeration Date | 2015-08-14 |
Last Update Date | 2015-08-14 |