| NPI | 1104891480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC007076L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC007076L) |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |