| NPI | 1891266870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 12624) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MD 08522) |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-11-15 |