| NPI | 1871182659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46Ta09202700) |
| Enumeration Date | 2021-01-15 |
| Last Update Date | 2021-01-15 |