NPI | 1033534755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL 16533) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CO 3909) |
225XP0200X Occupational Therapist, Pediatrics (Licence: AZ 5730) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: OR 322910) | |
Enumeration Date | 2014-03-04 |
Last Update Date | 2021-02-16 |