| NPI | 1164643995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 4350) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 002793) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2023-02-24 |