| NPI | 1497115083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT518) |
| Additional Taxonomies | 174400000X Specialist (Licence: MD 06450) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2017-05-31 |