| NPI | 1659403913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN OT0000004176) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-01993) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2005032605) | |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2018-03-17 |