| NPI | 1801161104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC019017) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT15013) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2023-07-05 |