| NPI | 1649515222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 01735) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT160) |
| Enumeration Date | 2012-12-07 |
| Last Update Date | 2016-04-26 |