| NPI | 1639840127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC014022) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: PA OC014022) |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-10-07 |