| NPI | 1891117719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: NJ 46TR00461900) |
| Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: NJ 46TR00461900) |
| Enumeration Date | 2014-01-12 |
| Last Update Date | 2014-01-12 |