| NPI | 1225363070 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 4501)  | 
| Additional Taxonomies | 101YM0800X Counselor, Mental Health | 
| Enumeration Date | 2009-10-13 | 
| Last Update Date | 2015-11-07 |