| NPI | 1770238875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2191) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC017609) |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-02-16 |