| NPI | 1427563055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 18812) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 18812) |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2017-12-05 |