| NPI | 1922526797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119008751) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00763600) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT100200010) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2022-08-04 |