| NPI | 1215094115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 004679) |
| Additional Taxonomies | 174400000X Specialist (Licence: MO 004679) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2019-09-27 |