| NPI | 1801961529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056.004907) |
| Additional Taxonomies | 302F00000X Exclusive Provider Organization (Licence: IL 056004907) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2025-03-25 |