| NPI | 1235676073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT006377) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT010674) |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2019-09-04 |