| NPI | 1811107535 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NC 6046) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 0844) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-05-06 |