NPI | 1033381629 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: OR 254222) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2008-03-24 |
Last Update Date | 2009-09-17 |