| NPI | 1083120109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC015312) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT010022) |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2021-03-30 |