| NPI | 1124243498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: PA OC003241L) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC003241L) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-11-05 |