| NPI | 1043431257 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 6841) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119004462) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2009-08-04 |