| NPI | 1912211434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09045300) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: NJ 46TA09045300) |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2010-07-27 |