| NPI | 1558013565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC018139) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01027500) |
| Enumeration Date | 2022-01-20 |
| Last Update Date | 2022-03-21 |