| NPI | 1942591334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC 4142) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005338) |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2013-07-29 |