| NPI | 1326302118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA 322610) |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2014-12-19 |