| NPI | 1770545162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 8511) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT8473) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 3974) | |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2013-02-12 |