| NPI | 1508148578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010000758) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 06382) |
| 225X00000X Occupational Therapist (Licence: CA 10473) | |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2013-10-23 |