| NPI | 1962621482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00325100) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC007260L) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |