| NPI | 1780979385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist (Licence: NJ 298033) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NJ 00302805) |
| 174400000X Specialist (Licence: NJ 768842-298033) | |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-07-21 |