| NPI | 1689020604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC014404) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 357283) |
| 225X00000X Occupational Therapist (Licence: CA OT17529) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2018-05-30 |