| NPI | 1760501993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: ID OT-840) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: SD 553) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-07-31 |