| NPI | 1861738379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: GA OT002721) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: GA OT002721) |
| Enumeration Date | 2013-01-02 |
| Last Update Date | 2013-01-02 |