| NPI | 1043637614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 5728) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: CT 3897) |
| Enumeration Date | 2014-03-21 |
| Last Update Date | 2014-03-21 |