| NPI | 1760154504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119009099) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 22689) |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2025-09-19 |