| NPI | 1679757983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC009266) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: PA OC009266) |
| Enumeration Date | 2007-12-21 |
| Last Update Date | 2019-06-26 |