| NPI | 1114675899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC014988) |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2022-04-01 |