| NPI | 1962165050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC017975) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 09431) |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2021-10-15 |