| NPI | 1235342171 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA oc001722l) | 
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology | 
| Enumeration Date | 2007-05-07 | 
| Last Update Date | 2019-02-11 |