| NPI | 1104063411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 09582) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 012838-1) |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2023-03-12 |