| NPI | 1720142375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0002800) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 110153) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 110153) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2021-10-15 |