| NPI | 1417082256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 5568) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN OT436) |
| 225X00000X Occupational Therapist (Licence: TN OT436) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2014-02-12 |