| NPI | 1356766646 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OTA12804) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OTA12804) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |