| NPI | 1649327370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MT 392) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 4326-026) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |