| NPI | 1417115213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC009340) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 13179) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-05-28 |