| NPI | 1164990305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: OR 409675) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 19270) |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2024-03-08 |