| NPI | 1962021253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC016859) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 08919) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2020-04-16 |