| NPI | 1780413328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC020593) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119010555) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2025-01-16 |