| NPI | 1316290836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC010278) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 05232) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-26 |