| NPI | 1093932907 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31000153A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: KY KY-R0236) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: IN 31000153A) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: KY KY-R0236) | |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2007-07-08 |