| NPI | 1184286502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2004) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016023) |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |