| NPI | 1104957513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 00546291) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2025-07-17 |