| NPI | 1801082425 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 3836) |
| Additional Taxonomies | 174400000X Specialist (Licence: SC 3836) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 3836) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2018-06-15 |