| NPI | 1962654061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: PA OC011913) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00561500) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |