| NPI | 1992078109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00571700) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 12749) |
| Enumeration Date | 2012-02-18 |
| Last Update Date | 2015-01-23 |