| NPI | 1912676909 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 182776) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01011300) |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2021-09-13 |