| NPI | 1023141561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: WI 2953026) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 2953-026) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |