| NPI | 1083136865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119004991) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: VA 0119004991) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2017-07-12 |