| NPI | 1104135219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011609) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00499200) |
| Enumeration Date | 2010-10-07 |
| Last Update Date | 2020-10-13 |