| NPI | 1619312436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TN 4137) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 4137) |
| 225X00000X Occupational Therapist (Licence: VA 0119006020) | |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119006020) | |
| 252Y00000X Early Intervention Provider Agency (Licence: VA 0119006020) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: VA 0119006020) | |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2014-09-11 |