| NPI | 1689038622 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011734) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT17458) |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2016-04-06 |