| NPI | 1528201548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC009953) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ZZ 52868009) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |