| NPI | 1902781024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC009502) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 10426) |
| Enumeration Date | 2025-08-07 |
| Last Update Date | 2025-08-08 |