| NPI | 1124787189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT4608) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT61247348) |
| Enumeration Date | 2021-12-16 |
| Last Update Date | 2024-06-10 |