| NPI | 1861802662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 16513) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00580700) |
| Enumeration Date | 2014-05-01 |
| Last Update Date | 2015-07-23 |