NPI | 1023014677 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL ot9634) |
Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT9634) |
Enumeration Date | 2005-06-27 |
Last Update Date | 2021-07-19 |