| NPI | 1124307053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC003249L) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: PA OC003249L) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |