| NPI | 1609324391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07969) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MD 07969) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: WV 1842) | |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2019-03-07 |