| NPI | 1124529912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MS OT3594) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 118922) |
| 225X00000X Occupational Therapist (Licence: MS OT-3594) | |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2025-05-30 |