| NPI | 1073191482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC017595) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00983800) |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2021-03-30 |