| NPI | 1174861488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MD A00766) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD A00766) |
| Enumeration Date | 2013-01-21 |
| Last Update Date | 2013-01-21 |