NPI | 1891998415 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00353300) |
Additional Taxonomies | 225700000X Massage Therapist |
Enumeration Date | 2007-06-10 |
Last Update Date | 2020-12-01 |