| NPI | 1942064910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: 6619) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: 6619) |
| Enumeration Date | 2024-02-09 |
| Last Update Date | 2024-02-09 |