| NPI | 1790821106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 6145) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 008987) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-01-23 |