| NPI | 1568284628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NV OT-3586) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01206200) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |