| NPI | 1982958500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: PA OC007224L) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: PA OC007224L) |
| 225X00000X Occupational Therapist (Licence: PA OC007224L) | |
| Enumeration Date | 2012-11-05 |
| Last Update Date | 2012-11-05 |