| NPI | 1568182459 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics | 
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-08-31 | 
| Last Update Date | 2025-04-01 |