| NPI | 1568545929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK OT347) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK 347) |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: AK 347) | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2015-01-30 |