| NPI | 1518525658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC016191) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2017004428) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2019-07-23 |