| NPI | 1760996359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: PA OC015661) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: PA OC015661) |
| 225X00000X Occupational Therapist (Licence: PA OC015661) | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2024-02-27 |