| NPI | 1699805473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: TN 3826) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-03-04 |