| NPI | 1225183197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: KS 17-00824) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 001188) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-07-08 |