| NPI | 1487249017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC017331) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00964800) |
| Enumeration Date | 2021-03-05 |
| Last Update Date | 2021-03-05 |