| NPI | 1124248554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK ot1019) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK OT 1019) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2012-08-28 |