| NPI | 1194500538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 25329) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201010578) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-08-25 |