| NPI | 1568751782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT005296) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY P79173) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: NY P79173) | |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2011-08-26 |