| NPI | 1689169930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |