| NPI | 1720407711 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 12902170-4201) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics | 
| Enumeration Date | 2014-04-08 | 
| Last Update Date | 2024-03-04 |