| NPI | 1619254208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 9765) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 004696) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2016-03-24 |