| NPI | 1619214111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11129) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 003975) |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2023-03-30 |