| NPI | 1508237751 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC012200) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006410) |
| 225X00000X Occupational Therapist (Licence: CA 14778) | |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2019-06-26 |