| NPI | 1902954696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC007089L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT005949) |
| 225X00000X Occupational Therapist (Licence: WV 1109) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2021-01-14 |