| NPI | 1679755813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CT 004084) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2013-08-06 |