| NPI | 1689379505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC017165) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 123081) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-03-31 |