| NPI | 1316483456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12162) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC013997) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |