| NPI | 1417786146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119010846) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2008008558) |
| Enumeration Date | 2024-07-31 |
| Last Update Date | 2025-03-26 |