| NPI | 1760787204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 231807) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00446300) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2022-12-14 |