NPI | 1053789479 |
---|---|
Former Name | JULINNIS PENA |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 018559) |
Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: NJ 46tr00641900) |
225XP0200X Occupational Therapist, Pediatrics (Licence: NY 018559) | |
Enumeration Date | 2015-09-02 |
Last Update Date | 2018-11-09 |