| NPI | 1265867790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT100000116) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119002926) |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |