| NPI | 1760676555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DE U1-0001693) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ OC007103L) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2018-01-16 |