| NPI | 1053669812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 6447) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 296732) |
| 225X00000X Occupational Therapist (Licence: TX 116021) | |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2016-02-19 |