| NPI | 1871003418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: WI 3246-26) |
| Additional Taxonomies | 225XM0800X Occupational Therapist Mental Health (Licence: WI 3246-26) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2017-10-10 |