| NPI | 1760608103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011630) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09060400) |
| 224Z00000X Occupational Therapy Assistant (Licence: PA OP003143L) | |
| 225X00000X Occupational Therapist (Licence: NJ 46TR00538900) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-11-25 |