| NPI | 1780264887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC005364L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00372100) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2021-04-12 |