| NPI | 1598392367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA OC016758) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC016758) |
| Enumeration Date | 2020-03-23 |
| Last Update Date | 2022-03-29 |