| NPI | 1235558792 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA 319216) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA 319216) | 
| Enumeration Date | 2014-04-14 | 
| Last Update Date | 2014-04-14 |