| NPI | 1720610140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC016787) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00757800) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-11-16 |