| NPI | 1912190745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 3513) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AZ 3513) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |