| NPI | 1184960502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NH 1747) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 9856) |
| Enumeration Date | 2012-12-13 |
| Last Update Date | 2012-12-13 |