| NPI | 1053651471 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC012582) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT17218) | 
| Enumeration Date | 2013-02-21 | 
| Last Update Date | 2015-10-05 |