| NPI | 1992048854 |
|---|---|
| Former Name | ELYSE CHRISTINE KUTSOP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC012741) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00610200) |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2014-01-16 |