| NPI | 1861783979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC014270) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: PA OP006591) |
| Enumeration Date | 2011-04-23 |
| Last Update Date | 2017-03-08 |