| NPI | 1255578829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: UT 11437357-4201) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 009659-1) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2022-08-09 |