| NPI | 1720637291 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ OTH-009772) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 023881) |
| Enumeration Date | 2019-09-08 |
| Last Update Date | 2025-10-10 |