| NPI | 1053161620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 13524) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SC 7253) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2025-01-15 |