| NPI | 1659970135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005945) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2020-10-26 |
| Last Update Date | 2020-10-26 |