| NPI | 1396184792 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2012024595) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-01295) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-06-18 |