| NPI | 1114178514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 6385) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NC 6385) |
| 225X00000X Occupational Therapist (Licence: NC 6385) | |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-07-27 |