| NPI | 1326120684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 002834) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-01195) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2007-07-08 |