| NPI | 1912775925 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ND 2079) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 6328) | 
| Enumeration Date | 2023-12-19 | 
| Last Update Date | 2025-08-27 |