| NPI | 1427339621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119006676) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 010968-1) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2015-07-31 |