| NPI | 1902179401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00561400) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114538) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2021-03-15 |