| NPI | 1861949158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: KS 17-03204) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2016029243) |
| Enumeration Date | 2016-09-05 |
| Last Update Date | 2016-09-05 |