| NPI | 1568732055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: HI 0T 160) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI OT 160) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2011-12-30 |