| NPI | 1407147333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ID OT-489) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT00002940) |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2011-04-26 |