| NPI | 1538497615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ID OT-2561) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW 35130) |
| Enumeration Date | 2009-11-30 |
| Last Update Date | 2022-08-15 |