| NPI | 1457701476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT006736) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT 17821) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2018-08-01 |