| NPI | 1467921106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 0005900) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: CT 001334) |
| 225X00000X Occupational Therapist (Licence: CO 0005900) | |
| Enumeration Date | 2018-11-23 |
| Last Update Date | 2024-02-20 |