| NPI | 1720159494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: NM 2118) |
| Additional Taxonomies | 225XH1300X Occupational Therapist Human Factors (Licence: NM 2118) |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-01-31 |