| NPI | 1831263201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT14971) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MN 103527) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2012-01-25 |