| NPI | 1972088136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0008177) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: ID OT-1972) |
| Enumeration Date | 2018-10-03 |
| Last Update Date | 2026-05-02 |