| NPI | 1548732654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT17609) |
| Additional Taxonomies | 171W00000X Contractor |
| Enumeration Date | 2018-12-31 |
| Last Update Date | 2018-12-31 |