| NPI | 1972813699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: IL 056009199) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WI 4924-026) |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-22 |