| NPI | 1679825319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PR 1146) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2012-10-15 |