| NPI | 1710109715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC005407L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00059700) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |