NPI | 1801100565 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46tr00553200) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OH OT - 007413) |
Enumeration Date | 2010-08-04 |
Last Update Date | 2012-02-08 |