| NPI | 1346635067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 13257) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0119006996) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2021-11-30 |