| NPI | 1467685974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 003422) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 015202-1) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2009-11-16 |