| NPI | 1144779836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NM OT4271) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 009021) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CO OTA.0000871) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-08-25 |