| NPI | 1255331252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07074) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC-002363-L) |
| Enumeration Date | 2005-08-01 |
| Last Update Date | 2021-06-03 |