| NPI | 1588654537 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT004571) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT 11705) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2012-05-23 |