| NPI | 1265509376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT003787) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA OT003787) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-09-25 |