NPI | 1861619991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00064000) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NJ 46TR00064000) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2007-07-08 |