| NPI | 1740526094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 8707) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC012165) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2016-09-23 |