| NPI | 1619386422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07443) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC013392) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2014-08-06 |