| NPI | 1174979488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SD 0415) |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-05-05 |