| NPI | 1356529234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 4257) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NE 1352) |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2014-07-23 |