| NPI | 1477712289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VT 072.0102450) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00417400) |
| 225X00000X Occupational Therapist (Licence: NY 014649-1) | |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2017-01-22 |