| NPI | 1265670681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 6751) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 3456) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |