| NPI | 1710360300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 12963) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 019772-1) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2019-03-12 |