| NPI | 1679769996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 05171) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC007194L) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2022-10-17 |