| NPI | 1376994673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: KS 17-03121) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MO 2015032082) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |