| NPI | 1104156223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010000561) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119004658) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2012-09-09 |