| NPI | 1700855434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 5695) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 11281) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2007-07-08 |