| NPI | 1912544495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 48.005655) |
| Additional Taxonomies | 101Y00000X Counselor |
| 225X00000X Occupational Therapist (Licence: CT 5655) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 0006837) | |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2021-10-28 |