| NPI | 1205482759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 0006068) |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand (Licence: CO 0006068) |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |