| NPI | 1841425436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: PA OC 09889) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC09889) |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2009-05-26 |