| NPI | 1972588093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 177) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: NC 177) |
| Enumeration Date | 2005-12-12 |
| Last Update Date | 2007-07-08 |