| NPI | 1780973677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 14599) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 10931) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2011-03-31 |