| NPI | 1003947409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-02363) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2007001568) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2009-12-07 |