| NPI | 1780927012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010001315) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 017913-1) |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2022-08-09 |