| NPI | 1962949792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NJ 46TA09080300) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 006308-1) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |