| NPI | 1003212804 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY 134115) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31005770a) |
| Enumeration Date | 2014-11-06 |
| Last Update Date | 2020-05-15 |