| NPI | 1174107007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MT 6993) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MT 11687) |
| 225X00000X Occupational Therapist | |
| 225X00000X Occupational Therapist (Licence: MT 6993) | |
| 225XM0800X Occupational Therapist, Mental Health | |
| 225XM0800X Occupational Therapist, Mental Health (Licence: MT 6992) | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2021-05-06 |
| Last Update Date | 2021-05-06 |