| NPI | 1588274955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC015458) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022056-1) |
| Enumeration Date | 2020-07-31 |
| Last Update Date | 2023-08-10 |