| NPI | 1376789883 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 720) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 720) | 
| Enumeration Date | 2009-01-05 | 
| Last Update Date | 2009-01-05 |