NPI | 1003199498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 007079-1) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 007079-1) |
Enumeration Date | 2011-09-22 |
Last Update Date | 2015-05-14 |