| NPI | 1649873134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC014948) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00901700) |
| Enumeration Date | 2020-11-18 |
| Last Update Date | 2020-11-18 |