| NPI | 1912980905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 10941687-4201) |
| Additional Taxonomies | 2251H1200X Physical Therapist, Hand (Licence: NJ 46TR00172800) |
| Enumeration Date | 2005-11-22 |
| Last Update Date | 2021-12-03 |