| NPI | 1326100454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ID 1005) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109162) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2013-01-08 |