| NPI | 1629626676 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12757) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 12757) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2021-09-22 |