| NPI | 1265634026 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005367) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005367) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-11-16 |