| NPI | 1275402778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 18129) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC021124) |
| Enumeration Date | 2025-11-03 |
| Last Update Date | 2025-11-03 |