| NPI | 1962024851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA 322419) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: LA 322419) |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-06-02 |