| NPI | 1316226640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT14379) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT14379) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119000753) | |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2012-02-06 |