NPI | 1043598097 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: AZ BH5312) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IN 31004130A) |
225X00000X Occupational Therapist (Licence: WA OT60174150) | |
225X00000X Occupational Therapist (Licence: AZ 4842) | |
Enumeration Date | 2011-07-25 |
Last Update Date | 2018-03-17 |