| NPI | 1558537209 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT006924)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OTT13091)  | 
| Enumeration Date | 2008-05-02 | 
| Last Update Date | 2017-12-03 |