| NPI | 1417491507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MS OT3855) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC018193) |
| 225X00000X Occupational Therapist (Licence: FL OT19915) | |
| Enumeration Date | 2016-12-08 |
| Last Update Date | 2024-01-03 |