| NPI | 1114668910 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 09335) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC017623) | 
| 225X00000X Occupational Therapist (Licence: VA 0119-009217) | |
| 225X00000X Occupational Therapist (Licence: DE U1-0012323) | |
| Enumeration Date | 2022-04-05 | 
| Last Update Date | 2022-04-05 |