| NPI | 1306913496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT000091) |
| Additional Taxonomies | 174400000X Specialist (Licence: GA OT000091) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-10-05 |