| NPI | 1164764171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4929) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005870) |
| Enumeration Date | 2013-03-18 |
| Last Update Date | 2019-05-08 |