| NPI | 1023400561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AL 1159) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AL 1159) |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: AL 1159) | |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |