| NPI | 1013676154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC018133) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01027600) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2024-08-08 |