| NPI | 1790238053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC014962) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2016027021) |
| Enumeration Date | 2016-08-03 |
| Last Update Date | 2017-03-09 |