| NPI | 1558423483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 1700538) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO OC000245) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-08 |