| NPI | 1205518222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NM OT-2023-0170) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NM 20230170) |
| Enumeration Date | 2023-08-01 |
| Last Update Date | 2024-08-22 |