| NPI | 1073075966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC015155) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00791300) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2019-04-01 |