NPI | 1215481585 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: PA OC011221) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC011221) |
225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: PA OC011221) | |
Enumeration Date | 2016-08-04 |
Last Update Date | 2016-08-04 |