| NPI | 1962148171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NJ 470591) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2022-05-10 |
| Last Update Date | 2022-05-10 |