| NPI | 1740322809 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT003953) | 
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT15803) | 
| Enumeration Date | 2007-02-13 | 
| Last Update Date | 2013-12-26 |