| NPI | 1376973503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119006704) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 06197) |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2023-02-23 |