| NPI | 1104472729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 08263) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC013811) |
| 225X00000X Occupational Therapist (Licence: DE U1-0001898) | |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2019-08-11 |