| NPI | 1447462650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT005445) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 6978) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-09-03 |