| NPI | 1801930136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 12507) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 6736) |
| 225X00000X Occupational Therapist (Licence: IA 002067) | |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2011-10-21 |