| NPI | 1831731413 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2018030607)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2018030607)  | 
| Enumeration Date | 2019-10-15 | 
| Last Update Date | 2023-01-23 |