| NPI | 1790001865 |
|---|---|
| Former Name | CATHERINE ELAINE COSTA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00517800) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC011358) |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2019-11-08 |