| NPI | 1861858292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK 2319) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 5117) |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2022-07-27 |