| NPI | 1114950755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 586) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 000586) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2008-07-31 |