| NPI | 1245651470 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 16441) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: PR 1202) | 
| Enumeration Date | 2013-12-13 | 
| Last Update Date | 2015-12-28 |