| NPI | 1609919570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0004184) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-00793) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MO OC001580) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2015-01-13 |