| NPI | 1366854887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC015126) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: KS 48-1284001) |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2021-05-08 |