| NPI | 1114123262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: KS 17-02442) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MO 2007013773) |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2014-08-13 |