| NPI | 1679021760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 9121) |
| Additional Taxonomies | 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: NC 9121) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 9121) | |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2020-08-28 |