| NPI | 1194979682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XL0004X Occupational Therapist, Low Vision | |
| Enumeration Date | 2008-11-10 |
| Last Update Date | 2008-11-10 |