| NPI | 1396285540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC015681) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 07597) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2018-11-09 |