NPI | 1083665079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT6983) |
Additional Taxonomies | 222Q00000X Developmental Therapist |
225700000X Massage Therapist (Licence: MA101104) | |
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing | |
Enumeration Date | 2006-05-13 |
Last Update Date | 2023-04-28 |