| NPI | 1780388801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: PA OC005644L) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: PR OC005644L) |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |