| NPI | 1407458623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 09091) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC017199) |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2022-10-09 |