| NPI | 1912002692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 262) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 262) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2012-04-11 |