| NPI | 1891802575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT2118) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC000715L) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2007-07-09 |