| NPI | 1083039721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: PA OC008858) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00328700) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2025-04-24 |