NPI | 1124243498 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC003241L) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC003241L) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2008-11-05 |