| NPI | 1154651289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 004793) |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing (Licence: CT 000914) |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2022-12-13 |