| NPI | 1053718056 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC013413) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 14697) | 
| Enumeration Date | 2014-11-20 | 
| Last Update Date | 2014-11-20 |