| NPI | 1760707384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: PA OC003500L) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: MA 2309) |
| Enumeration Date | 2010-04-07 |
| Last Update Date | 2010-04-07 |