| NPI | 1396131470 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 106866) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2016-05-20 |