| NPI | 1639822760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC018274) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: PA TEI001835) |
| Enumeration Date | 2022-01-29 |
| Last Update Date | 2022-01-29 |