| NPI | 1043578412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 117102) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005365) |
| 225X00000X Occupational Therapist (Licence: NY 017570) | |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2015-09-01 |