| NPI | 1992106801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NJ 46TR00935100) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA TOP008813) |
| 225X00000X Occupational Therapist (Licence: PA OC016973) | |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2020-08-05 |