| NPI | 1902458466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 11877) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 023511) |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2021-07-12 |