| NPI | 1861627044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 12449) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: NY 014029-1) |
| 225X00000X Occupational Therapist (Licence: NC 12449) | |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2022-08-10 |