| NPI | 1023294337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC006854L) |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine (Licence: WV 934) |
| 2083X0100X Preventive Medicine, Occupational Medicine (Licence: MD 04500) | |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2012-07-26 |