NPI | 1184931685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: NY 005678-1) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 005678-1) |
Enumeration Date | 2010-09-03 |
Last Update Date | 2024-09-20 |