| NPI | 1760603914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT007934) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 3257) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2024-06-25 |