| NPI | 1104267467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: AL 4037) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: TX 115551) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2017-10-24 |