| NPI | 1215282090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 6373) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 11535) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2016-04-13 |