| NPI | 1679744882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: IN 31000646A) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: KY KY-R5944) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MI 5201008592) | |
| Enumeration Date | 2008-03-14 |
| Last Update Date | 2014-07-30 |