| NPI | 1023687142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC017401) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00969200) |
| 225X00000X Occupational Therapist (Licence: CA 22304) | |
| Enumeration Date | 2021-06-22 |
| Last Update Date | 2023-04-07 |