NPI | 1124248554 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: AK ot1019) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: AK OT 1019) |
Enumeration Date | 2007-04-26 |
Last Update Date | 2012-08-28 |