| NPI | 1417087586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-01599) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 005168) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-07-08 |