| NPI | 1720654494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT21955) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 21955) |
| Enumeration Date | 2021-06-02 |
| Last Update Date | 2021-06-09 |