| NPI | 1629502182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: KY 277520) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 0004976) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2022-07-07 |