| NPI | 1982074316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10561) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA TOC103176) |
| Enumeration Date | 2015-09-28 |
| Last Update Date | 2019-11-01 |