| NPI | 1336464890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT003375) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN OT0000002821) |
| Enumeration Date | 2010-03-28 |
| Last Update Date | 2019-06-13 |