| NPI | 1972874360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005303) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005303) |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2021-07-26 |