| NPI | 1144460965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NC 8545) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: VA 0119003914) |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2013-01-29 |