| NPI | 1154044469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 16138) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC018665) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2024-01-18 |