| NPI | 1255625810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: IA 002129) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MI 5201007929) |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-12-14 |