| NPI | 1336802164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT200001257) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119-009370) |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-08-08 |