| NPI | 1912391574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00688600) |
| Additional Taxonomies | 171W00000X Contractor (Licence: NJ 46TR00688600) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2021-01-07 |