| NPI | 1215628144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 485216) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2025-01-13 |