| NPI | 1669883161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 9799) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC002276L) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2016-03-31 |