| NPI | 1174781652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MT 905) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: AZ 1880) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |