| NPI | 1902122773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC016170) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 006595) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2019-05-07 |