| NPI | 1104106269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OK OT#460) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OK OT#460) |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-08-31 |