| NPI | 1649503871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 9155) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 003468) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2014-04-08 |