| NPI | 1588781421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC010808) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 04574) |
| Enumeration Date | 2007-03-24 |
| Last Update Date | 2020-07-23 |