| NPI | 1902077209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 9237) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 46TR00450000) |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2022-01-03 |