| NPI | 1760915045 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07331) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00773100) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2019-01-13 |