| NPI | 1396123956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: MO 2014035222) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-03037) | |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2023-04-04 |