| NPI | 1891925178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VA 0119005856) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 06320) |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2015-01-07 |