| NPI | 1952679656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist Mental Health (Licence: OR 418863) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: OR 418863) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2014-01-17 |