| NPI | 1003275686 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT987)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 04483)  | 
| Enumeration Date | 2016-02-11 | 
| Last Update Date | 2016-02-11 |