| NPI | 1588030308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 1878) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2015-08-16 |
| Last Update Date | 2015-08-16 |