| NPI | 1639546104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN OT3512) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-921) |
| 225X00000X Occupational Therapist (Licence: WA OT 00003794) | |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2017-02-13 |