| NPI | 1013627595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 09821) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC018877) |
| Enumeration Date | 2022-11-25 |
| Last Update Date | 2022-11-25 |