NPI | 1154603884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07169) |
Additional Taxonomies | 225X00000X Occupational Therapist |
225X00000X Occupational Therapist (Licence: NY 016968) | |
Enumeration Date | 2011-09-20 |
Last Update Date | 2020-11-11 |