| NPI | 1508311705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: IN 31006496A) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: OH 014885) |
| 225XP0200X Occupational Therapist Pediatrics (Licence: MI 5201005313) | |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2017-12-26 |