| NPI | 1003067596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005351) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA TOC101575) |
| 225X00000X Occupational Therapist (Licence: NJ 46TR00588900) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2023-05-16 |