| NPI | 1457495970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 4028) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 9170) |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2010-05-13 |