| NPI | 1700072303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC010104) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 114404) |
| 225X00000X Occupational Therapist (Licence: TN 4779) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2015-05-06 |