| NPI | 1821088303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 06879) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 06879) |
| 225X00000X Occupational Therapist (Licence: NJ 46TR00295100) | |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2021-08-19 |