| NPI | 1619619772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 390632) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 390632) |
| Enumeration Date | 2022-04-10 |
| Last Update Date | 2022-04-10 |