| NPI | 1679395826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DE U1-0012586) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC019501) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |