| NPI | 1023381118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 5090-26) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY 131535) |
| Enumeration Date | 2012-02-20 |
| Last Update Date | 2018-01-15 |