| NPI | 1063885507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2021011699) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 079430) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: IA 079430) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2021-05-21 |