| NPI | 1962883744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: DC OT010001004) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 10776) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-10-08 |