| NPI | 1235721580 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT21983) | 
| Additional Taxonomies | 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics (Licence: FL OT21983) | 
| 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010001798) | |
| Enumeration Date | 2021-02-08 | 
| Last Update Date | 2021-09-02 |