| NPI | 1508998030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: LA z10189) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 111952) |
| Enumeration Date | 2007-03-10 |
| Last Update Date | 2010-02-04 |