| NPI | 1952068892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 14621) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC018157) |
| Enumeration Date | 2021-11-28 |
| Last Update Date | 2023-07-23 |