| NPI | 1730311259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: CO 2487) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC006298L) |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2010-07-15 |