| 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 |