| NPI | 1508030768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 12259) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: LA Z10965) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2019-03-28 |