| NPI | 1639826597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2021010858) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2021010858) |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-09-30 |