| NPI | 1104959428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 2096) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MA 5915) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2022-04-29 |