| NPI | 1205175940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 3271) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119003962) |
| Enumeration Date | 2013-01-31 |
| Last Update Date | 2015-01-12 |