| NPI | 1518484567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119007824) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OK 2140) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2018-08-07 |