| NPI | 1306246533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010000821) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119006375) |
| Enumeration Date | 2014-08-25 |
| Last Update Date | 2019-06-11 |