| NPI | 1811180094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: NJ cert # 51920) |
| Enumeration Date | 2007-08-22 |
| Last Update Date | 2023-11-07 |