| NPI | 1629848338 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 6302) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 15116) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |