| NPI | 1689191538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: VA 0119010475) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: SC 3666) |
| Enumeration Date | 2017-08-22 |
| Last Update Date | 2024-08-09 |